| NPI | 1588898068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60471974) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60431601) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2025-11-17 |